Suvremeni pristup rehabilitaciji oboljelih od Parkinsonove bolesti

Matea Stiperski Matoc, Katarina Doko, Jan Aksentijević, Dubravka Bobek

Parkinsonova bolest (PB) je kronična neurodegenerativna bolest koja se javlja u 2–3% populacije starije od 65 godina. U kliničkoj slici prevladavaju motorički simptomi poput bradikineze, rigora, tremora, hoda sitnim koracima, posturalne nestabilnosti te smrzavanja hoda. Uz farmakološko i kirurško liječenje, rehabilitacija je neizostavni modalitet liječenja. Sastoji se od fizikalne terapije, radne terapije i terapije govora. Temelj suvremene fizikalne terapije jest aktivni pokret uključujući aerobne vježbe, vježbe s otporom, vježbe hoda, vježbe ravnoteže, vježbe s vanjskim vizualnim i auditornim znakovima, tai chi i ples. Dokazan je pozitivni učinak vježbanja na oporavak motoričkih funkcija, hoda, ravnoteže te smanjenje učestalosti pada u oboljelih od PB-a.

Parkinson’s disease (PD) is a chronic neurodegenerative disease that occurs in 2–3% of the population over the age of 65. The clinical picture is dominated by motor symptoms such as bradykinesia, rigor, tremors, walking with small steps, postural instability, and freezing of gait. Along with pharmacological and surgical, rehabilitation is a fundamental part of the treatment. It consists of physical therapy, occupational therapy and speech therapy. The basis of modern physical therapy is active movement, including aerobic exercises, resistance exercises, gait exercises, balance exercises, exercises with external visual and auditory cues, Tai Chi and dance. The positive effect of exercise on the recovery of motor functions, gait and balance and the reduction incidence of falls has been proven in patients with PD.